Health inspection·April 10, 2025

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on, interviews, and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident medical, nursing and mental and psychosocial needs for 2 (Residents #1 and 2) of 4 residents reviewed for care plans. -The facility failed to ensure Resident #1 and 2's diagnoses of dysphagia (difficulty swallowing) was addressed on their care plan. This failure could place resident at risk for not having their individual needs met in a timely manner injury, and a decline in physical well-being. Findings included. Review of Resident #1 face sheet, dated 04/10/2025, reflected a [AGE] year-old female with an original admission date of 01/07/2022 and a readmission date of 01/01/2025 to the facility with a diagnosis of dysphagia oropharyngeal phase(difficulty moving food and liquids from back of the mouth to esophagus). Review of Resident #1's Annual MDS, dated [DATE], reflected Resident #1 had moderate impairment of cognitive skills for daily decision making (decisions poor; cues/supervision required). Resident #1 needed supervision or touching assistance with eating (Helper provides verbal cues and or touching/ steady and or contact guard assistance as resident completes activity. Assistance may be provided throughout activity or intermittently). MDS did not reflect resident had any signs and symptoms of possible swallowing disorder. Review of Resident # 1's comprehensive Care plan dated 01/09/25 did not reflect the dysphagia diagnosis. Resident #2 Review of Resident #2 face sheet, dated 04/10/2025, reflected an [AGE] year-old male with an admission date of 11/10/2025 to the facility with a diagnosis of dysphagia oropharyngeal phase (difficulty moving food and liquids from back of the mouth to esophagus). Review of Resident #2's quarterly MDS, dated [DATE], reflected Resident #2 had a BIMS score of 07 indicating severe cognitive impairment. Resident #1 needed supervision or touching assistance with (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 676431 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 676431 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/10/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at El Paso 7441 Paseo Del Norte El Paso, TX 79911 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)